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Health Assessment Exam 2 Test Bank With Complete Solution Guide.
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Health Assessment Exam 2 Test Bank With Complete Solution Guide.
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Health Assessment Exam 2 Test Bank With CompleteSolution Guide.
1. Which of these statements is true regarding the vertebra
rf rf rf rf rf rf rf rf
prominens?Thevertebra prominens is:
rf fr fr rf rf
a. The spinous process of C7. rf rf rf rf
b. Usually nonpalpable in most individuals. rf rf rf rf
c. Opposite the interior border of the scapula. rf rf rf rf rf rf
d. Located next to the manubrium of the sternum.:A rf rf rf rf rf rf rf rf
2. When performing a respiratory assessment on a patient,the nurse noticesa
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costal angle of approximately 90 degrees.This characteristic is:
rf rf rf rf rf rf fr rf rf
a. Observed in patients with kyphosis. rf rf rf rf
b. Indicative of pectus excavatum. rf rf rf
c. A normal finding in a healthy adult.
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d. An expected finding in a patient with a barrel chest.:C
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3. When assessing a patients lungs,the nurse recalls that the left lung:
rf rf rf rf rf rf rf rf rf rf rf
a. Consists of two lobes. rf rf rf
b. Is divided by the horizontal fissure.
rf rf rf rf rf
c. Primarily consists of an upper lobe on the posterior chest. rf rf rf rf rf rf rf rf rf
d. Is shorter than the right lung because of the underlying stomach.:A
rf rf rf rf rf rf rf rf rf rf rf
4. Which statement about the apices of the lungs istrue?The apices of
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thelungs:
rf fr
a. Are at the level of the second rib anteriorly.
rf rf rf rf rf rf rf rf
b. Extend 3 to 4 cm above the inner third of the clavicles. rf rf rf rf rf rf rf rf rf rf rf
c. Are located at the sixth rib anteriorly and the eighth rib laterally.
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d. Restonthediaphragmatthefifthintercostalspaceinthemidclavicularline(MCL
fr fr fr fr fr fr fr fr fr fr fr fr fr
).:B rf
5. During an examination of the anterior thorax,the nurse is aware that
rf rf rf rf rf rf rf rf rf rf rf
thetrachea bifurcates anteriorly at the:
rf fr rf rf rf rf
a. Costal angle. rf
b. Sternal angle. rf
rf rf
,c. Xiphoid process.
rf
d. Suprasternal notch.:B rf rf
6. Duringanassessment,thenurseknowsthatexpectedassessmentfindingsin
fr fr fr fr fr fr fr fr fr fr
the normal adult lung include the presence of:
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a. Adventitious sounds and limited chest expansion.
rf rf rf rf rf
rf rf
, b. Increased tactile fremitus and dull percussion tones. rf rf rf rf rf rf
c. Muffled voice sounds and symmetric tactile fremitus. rf rf rf rf rf rf
d. Absent voice sounds and hyperresonant percussion tones.:C rf rf rf rf rf rf fr
7. The primary muscles of respiration include the:
rf rf rf rf rf rf
a. Diaphragm and intercostals. rf rf
b. Sternomastoids and scaleni. rf rf
c. Trapezii and rectus abdominis. rf rf rf
d. External obliques and pectoralis major.:A rf rf rf rf fr
8. A 65-year-old patient with a history of heart failure comes to the clinic
rf rf rf rf rf rf rf rf rf rf rf rf
withcomplaints of being awakened from sleep with shortness of breath. Which
rf fr rf rf rf rf rf rf rf rf rf rf
action by the nurse is most appropriate?
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a. Obtaining a detailed health history of the patients allergies and a history rf rf rf rf rf rf rf rf rf rf rf
ofasthma
rf fr
b. Telling the patient to sleep on his or her right side to facilitate ease rf rf rf rf rf rf rf rf rf rf rf rf rf
ofrespirations
rf fr
c. Assessingforothersignsandsymptomsofparoxysmalnocturnaldyspnea fr fr fr fr rf fr fr fr fr
d. Assuring the patient that paroxysmal nocturnal dyspnea is normal and rf rf rf rf rf rf rf rf rf
willprobably resolve within
rf fr rf rf
the next week:C rf rf rf
9. When assessing tactile fremitus,the nurse recalls that it is normal torf rf rf rf rf rf rf rf rf rf rf
feeltactile fremitus most intensely over which location?
rf fr rf rf rf rf rf rf
a. Between the scapulae rf rf
b. Third intercostal space,MCL rf rf fr
c. Fifth intercostal space,midaxillary line (MAL) rf rf rf rf rf
d. Over the lower lobes,posterior side:A rf rf rf rf rf rf
10. The nurse is reviewing the technique of palpating for tactile fremitus witha
rf rf rf rf rf rf rf rf rf rf rf fr
new graduate. Which statement by the graduate nurse reflects a correct
rf rf rf rf rf rf rf rf rf rf rf
understanding of tactile fremitus?Tactile fremitus:
rf rf rf rf fr rf
a. Is caused by moisture in the alveoli.
rf rf rf rf rf rf
b. Indicates that air is present in the subcutaneous tissues. rf rf rf rf rf rf rf rf
c. Is caused by sounds generated from the larynx.
rf rf rf rf rf rf rf
d. Reflects the blood flow through the pulmonary arteries:C rf rf rf rf rf rf rf rf
11. During percussion,the nurse knows that a dull percussion note rf fr rf rf rf rf rf rf rf
elicitedover a lung lobe most likely results from:
rf fr rf rf rf rf rf rf rf
rf rf
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